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Title:

* First Name:
* Last Name:
Street Address:
Town/City:
Province/State:
Postal Code/Zip Code:
* Country:
* E-mail:
* Telephone:
Nationality:

Date of Birth:

(YYYY-MM-DD)
Current Status in Country of Residence:

FACTOR 1 : EDUCATION LEVEL

Please indicate your education level:  
Post-graduate university studies AND 17 years or more of education
2 or more university diplomas AND a minimum of 15 years of education
1 university diploma (2 years or more of courses) AND a minimum of 14 years of education
1 university diploma (1 year course) AND a minimum of 13 years of education
1 technical certificate (3 years or more of courses) AND a minimum of 15 years of education
1 technical certificate (2 years) AND a minimum of 14 years of education
1 technical certificate (1 year) AND a minimum of 13 years of education
1 technical certificate (1 year) AND a minimum of 12 years of education
High school
Less than high school


FACTOR 2 : LANGUAGE ABILITIES

1ST OPTION ENGLISH FRENCH    
  None Basic Intermediate Advanced
Writing
Listening
Speaking
Reading

2ND
OPTION
ENGLISH
FRENCH
   
  None Basic Intermediate Advanced
Writing
Listening
Speaking
Reading

FACTOR 3 : AGE
Please enter your age in years

54 or more
53
52
51
50
21 to 49
20
19
18
17
16 or less


FACTOR 4 : PROFESSIONAL WORK EXPERIENCE
Professional experience in the last 10 years

More than 4 years
2 years but less than 4
2 years but less than 3
1 year but less than 2
Less than 1 year
None


FACTOR 5: SPOUSE'S EDUCATION LEVEL
Please indicate your spouse's education level

Post-graduate studies
1 year or more university diploma
1 year or more post-secondary for technical certificate
High school or less
No spouse


FACTOR 6: WORK/STUDY IN CANADA

Have you ever worked in Canada on a valid work permit? (At least one year.)
NO YES
If yes, how long? Kindly provide details.

Have you ever studied in Canada on a valid study permit? (Post-secondary courses only: at least 2 years full-time and over the age of 17 years.)
NO YES
If yes, how long? Kindly provide details.

FACTOR 7: DO YOU HAVE?

Do you (or your spouse) have any relative who is a Canadian citizen or permanent resident?
NO YES
Type of relative:
Mother/Father Brother/Sister Uncle/Aunt Other

Do you have or can you obtain an Human Resourses and Skills Development Canada-validated job offer?
NO YES
If yes, please explain below:

How did you hear about CILA Immigration Inc.? 


 

 
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